Provider Demographics
NPI:1457028813
Name:MARLOW, HAYLEY RENEE (MSW)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:RENEE
Last Name:MARLOW
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20013 BLACKBURN ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-1051
Mailing Address - Country:US
Mailing Address - Phone:313-418-8928
Mailing Address - Fax:586-279-3886
Practice Address - Street 1:23100 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-2756
Practice Address - Country:US
Practice Address - Phone:586-335-2006
Practice Address - Fax:586-279-3886
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program